DR. JOHN PAK (NPI# 1811937311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811937311 |
| Entity Type | Individual |
| Full Name | DR. JOHN PAK |
| Credential | M.D. |
| Practice Address |
2015 N Main St Wheaton IL 60187-3152 |
| Practice Telephone | 6306688250 |
| Practice Fax Number | 6306688916 |
| Mailing Telephone | 6306688250 |
| Mailing Fax Number | 6306688916 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2009-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036-108561 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036108561 | 05 | |
| IL | RR MEDICARE | P00336843 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795118 | John C Pak | Pharmacist | 1269 Summersworth Pl, Fullerton, CA 92833-2054 | 2005-07-28 |
| 1598886681 | John W Pak | Dentist | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2007-04-03 |
| 1598736068 | John H Pak | Orthopaedic Surgery | 4105 Briargate Parkway, Suite 300, Colorado Springs, CO 80920-3487 | 2006-01-31 |
| 1609857846 | John Pak | Anesthesiology | 908 Allen St, Springfield, MA 01118-2533 | 2005-11-07 |
| Street Address |
2015 N MAIN ST |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883004 | Wheaton Eye Clinic Ltd. | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2005-10-03 |
| 1396123048 | Nathaniel Erick Mcintyre | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2015-05-14 |
| 1477972412 | Krishna B Patel | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3190 | 2014-04-07 |
| 1932531407 | Mei Zhou | Ophthalmology | 2015 N Main St, Wheaton, IL 60187 | 2013-08-06 |
| 1326480385 | Siya Huo | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2013-07-18 |
| 1265796585 | Michelle Marie Kron-gray | Anesthesiology | 2015 N Main St, Wheaton, IL 60187-3152 | 2012-07-02 |
| 1285917377 | Huizi Yin | Optometrist | 2015 N Main St, Wheaton, IL 60187-3190 | 2011-09-24 |
| 1508146788 | Alan S Jin | Optometrist | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-08-19 |
| 1952689705 | Timothy John Kietzman | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-07-28 |
| 1083909998 | Michael Thomas Andreoli | Internal Medicine | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811984669 | Peter T Brazis IIi | Ophthalmology | 2105 N. Main St, Wheaton, IL 60187 | 2005-10-05 |
| 1801883004 | Wheaton Eye Clinic Ltd. | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2005-10-03 |
| 1518314988 | Ka Wheaton Inc | Ophthalmology | 11193 Veirs Mill Rd, Wheaton, MD 20902-2534 | 2016-05-16 |
| 1396123048 | Nathaniel Erick Mcintyre | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2015-05-14 |
| 1477972412 | Krishna B Patel | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3190 | 2014-04-07 |
| 1932531407 | Mei Zhou | Ophthalmology | 2015 N Main St, Wheaton, IL 60187 | 2013-08-06 |
| 1326480385 | Siya Huo | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2013-07-18 |
| 1952689705 | Timothy John Kietzman | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-07-28 |
| 1477780310 | Evan B Price | Ophthalmology | 2015 N Main St, Wheaton, IL 60187 | 2009-06-18 |
| 1437350212 | Michelle E Andreoli | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2007-05-30 |
| Find all providers in WHEATON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.